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I• � � � !• � � i� � s• � � tii� <br /> H N F STOD RECORD <br /> CAI O CU <br /> # t Advanced Date I4-.��-c�3 Page � of GeoEn�ironmental, Inc. <br /> 837 Shaw Road - Stockton, California-95215 - (209) 467-1006- Fax(209) 467-1118 <br /> ClientProject Manager <br /> ��� C���a Cuellar�►'YiTests Required <br /> Phone Number <br /> a0q- 4CO7- fQ()(,o <br /> Samplers (Signature) ,C? Invoice <br /> Project Name AGE <br /> �v Client ❑ <br /> uGw�t� �" <br /> Sam <br /> i V <br /> Sample Location pate Time Water Ype Solid No of ��` ii�'�� Q x Notes <br /> Number Description Comp Grab Air Conts <br /> -Z <br /> I0LA <br /> Ins /15 <br /> 10.5-0 X X X 155 <br /> (49S <br /> w-1U-y5- Jo F(. -76 <br /> e <br /> ed <br /> y Ignat a ece va a FY- (Signaturej Datefrime <br /> to-3 -03 /foo <br /> rlqulshed by (Signature) Received by (Signature) Date/Time <br /> I <br /> I <br /> Relinquished by (Signature) Received by Moblie Laboratory for field analysis (Signature) Dateffime <br /> Dispatched by (Signature) <br /> DatalYrme R iv d Tor Laboratory by QatslTime <br /> v I <br /> J f <br /> Method of Shipment 1. oratory Name <br /> 6—C Hc— <br /> Special instructions 1 hereby authorize the performance of the above indicated work <br />